Healthcare Provider Details

I. General information

NPI: 1841583945
Provider Name (Legal Business Name): EUCLID LIFEFORCE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2011
Last Update Date: 05/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25941 EUCLID AVE
EUCLID OH
44132-2723
US

IV. Provider business mailing address

8549 ANTLERS TRL
N RIDGEVILLE OH
44039-6406
US

V. Phone/Fax

Practice location:
  • Phone: 216-261-2055
  • Fax: 216-261-2050
Mailing address:
  • Phone: 216-261-2055
  • Fax: 216-261-2050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JAMES G O'REILLY
Title or Position: OWNER
Credential: DC
Phone: 216-261-2055